| Stephen Reese Holley, MD | |
|
2 S Hospital Dr, Murphysboro, IL 62966-3333 | |
| (618) 684-3156 | |
| (618) 529-0522 |
| Full Name | Stephen Reese Holley |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 21 Years |
| Location | 2 S Hospital Dr, Murphysboro, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235325994 | NPI | - | NPPES |
| 0A1009410 | Other | CA | BCBS OF CA |
| 0A1009410 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036118873 (Illinois) | Secondary |
| 207R00000X | Internal Medicine | A100941 (California) | Secondary |
| 208M00000X | Hospitalist | 036.118873 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Great River Medical Center | West burlington, IA | Hospital |
| Henry County Health Center | Mount pleasant, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeast Iowa Regional Medical Center Inc | 3870496417 | 252 |
| Entity Name | Southeast Iowa Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164433884 PECOS PAC ID: 3870496417 Enrollment ID: O20040130000139 |
| Entity Name | Apogee Medical Group Iowa Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689856825 PECOS PAC ID: 2860572484 Enrollment ID: O20080320000517 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Reese Holley, MD 3023 N Clark St, Chicago, IL 60657-5200 Ph: (310) 866-2964 | Stephen Reese Holley, MD 2 S Hospital Dr, Murphysboro, IL 62966-3333 Ph: (618) 684-3156 |
Prativa Pandey, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2 S Hospital Dr, Murphysboro, IL 62966 Phone: 618-684-3156 Fax: 618-684-1040 | |
Dr. Frederick Christiaan Venter, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2 S Hospital Dr, Murphysboro, IL 62966 Phone: 618-684-3156 |